Active NPI
Natasha Fera, LMSW
- Clinical Social Worker
- Port Jefferson Station, NY
National Provider Identifier
1255866901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104083
- Practice address
- 8 Roosevelt Ave
Port Jefferson Station, NY 11776-3337 - Phone
- (631) 736-7707
- NPI assigned
- May 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 097565-1 | NY | |
| Clinical Social Worker | 1041C0700X | 104083 | NY | Primary |
Addresses
Primary practice location
8 Roosevelt Ave
Port Jefferson Station, NY 11776-3337
Mailing address
8 Roosevelt Ave
Port Jefferson Station, NY 11776-3337
Phone (631) 736-7707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097565-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1255866901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 ROOSEVELT AVE",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117763337",
"telephone_number": "631-736-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 ROOSEVELT AVE",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117763337",
"telephone_number": "631-736-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERA",
"first_name": "NATASHA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-01",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "097565-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "104083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.